Provider Demographics
NPI:1568594786
Name:LANGILLE, KATHLEEN CURTIN (RN)
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:CURTIN
Last Name:LANGILLE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 597
Mailing Address - Street 2:434 PASSUMPSIC AVENUE
Mailing Address - City:WILDER
Mailing Address - State:VT
Mailing Address - Zip Code:05088-0597
Mailing Address - Country:US
Mailing Address - Phone:802-296-7724
Mailing Address - Fax:
Practice Address - Street 1:215 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WHITE RIVER JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05009-0001
Practice Address - Country:US
Practice Address - Phone:802-296-5177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH052865-21163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse